Author Question: The nurse is caring for a patient who received an instillation of doxorubicin (Adriamycin) into the ... (Read 71 times)

Zulu123 · **on:** Jun 25, 2018

The nurse is caring for a patient who received an instillation of doxorubicin (Adriamycin) into the bladder for treatment of cancer in situ. What should the nurse do next?

a. Reposition the patient every 15 to 30 mi-nutes.
b. Unclamp the catheter.
c. Educate the patient about the possibility of false positive tuberculin skin testing.
d. Apply nonslip footwear for ambulation.

Question 2

The nurse is performing postoperative teaching for a patient who underwent a left cataract removal. Which information should the nurse include in the teaching plan? (select all that apply.)

a. Sleep on the right side.
b. Take a stool softener to avoid straining during bowel movements.
c. Bend at the waist and avoid stooping.
d. Wash hands before instilling eyedrops.
e. Follow the prescribed medication schedule exactly.

sokh · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

A
Doxorubicin (Adriamycin) has been found to help patients with bladder carcinoma in situ (site of origin) by reducing tumor recurrence and by eliminating residual malignant cells after surgery. The solution is instilled into the bladder via a urinary catheter. The patient should change position every 15 to 30 minutes, and the catheter is clamped for 2 hours. The nurse should not unclamp the catheter. While it is important to educate the patient about potential for positive PPD tests, education should be done at a time when the patient can focus on the information. Ambulation is not appropriate at this time.

Answer to Question 2

A, B, D, E
The patient should sleep on the unaffected side, use a stool softener to prevent straining, wash hands before instilling eyedrops, and follow the prescribed medication schedule exactly. The pa-tient should not bend from the waist as the position increases intraocular pressure.